Individual provider Active NPI

Alois Karl Tripam, D.D.S.

  • General Practice Dentistry
  • Fort Collins, CO
National Provider Identifier
1780718288
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7503 Issued in CO
Practice address
934 S Lemay Ave
Fort Collins, CO 80524-3207
Phone
(970) 498-8300
Fax
(970) 498-8333
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7503 CO Primary

Addresses

Primary practice location

934 S Lemay Ave
Fort Collins, CO 80524-3207

Mailing address

6638 Majestic Dr
Fort Collins, CO 80528-8891
Phone (970) 229-1878

Other identifiers 1

IdentifierTypeStateIssuer
02075034MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 5, 2016 through Jan 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7503COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beatus Dentium, LLC Past Accepting new patients
Comfort Dental Fort Collins General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780718288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6638 MAJESTIC DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805288891",
            "telephone_number": "970-229-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 S LEMAY AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243207",
            "telephone_number": "970-498-8300",
            "fax_number": "970-498-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPAM",
        "first_name": "ALOIS",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02075034",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.